Active NPI
Elizabeth Dru Stewart, D.D.S.
- Dentist
- Winchester, IN
National Provider Identifier
1912064411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010643
- Practice address
- 871 E Washington St
Winchester, IN 47394-9220 - Phone
- (765) 584-0971
- Fax
- (765) 584-4401
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010643 | IN | Primary |
Addresses
Primary practice location
871 E Washington St
Winchester, IN 47394-9220
Mailing address
871 E Washington St
Winchester, IN 47394-9220
Phone (765) 584-0971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010643 | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912064411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 E WASHINGTON ST",
"city": "WINCHESTER",
"state": "IN",
"postal_code": "473949220",
"telephone_number": "765-584-0971",
"fax_number": "765-584-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 E WASHINGTON ST",
"city": "WINCHESTER",
"state": "IN",
"postal_code": "473949220",
"telephone_number": "765-584-0971",
"fax_number": "765-584-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ELIZABETH",
"middle_name": "DRU",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, IN
- St. Vincent Physician Network, LLC
- St. Vincent Physician Network, LLC
- St. Vincent Randolph Hospital, Inc (Ascension St. Vincent Randolph)
- St. Vincent Randolph Hospital, Inc.
- St. Vincent Randolph Hospital, Inc. (Ascension St. Vincent Randolph)
- Gail F Stewart, O.D.
- Kortnie Strunk
- Alison Anne Syme, MD
- Jason F. Tanner, MD
- The Eye Center Group LLC (Winchester Eye Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.